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Premium Compounding, Inc.

Details

Name: Premium Compounding, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 25 Apr 2018 (7 years ago) (Companies founded in April 2018)
Entity Number: 000-517-026
Register Number: 000517026
ZIP code: 35603 (Companies in Morgan, 35603)
County: Morgan
Place of Formation: Morgan County
Principal Address: 3220 HWY 31 SOUTH BLDG A-2DECATUR, AL 35603
Authorized Capital: 1,000 @ $200/PV
Paid Share Capital: $200,000

Activities PROVIDE PHARMACY COMPOUNDING SERVICES;ANY LAWFUL BUSINESS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013408772 2018-05-29 2018-05-29 3220 HIGHWAY 31 S STE A2, DECATUR, AL, 356031731, US 3220 HIGHWAY 31 S STE A2, DECATUR, AL, 356031731, US

Contacts

Phone +1 256-566-8011

Authorized person

Name MR. SAMUEL MARION COSTELLO
Role PRESIDENT
Phone 2565668011

Taxonomy

Taxonomy Code 3336C0004X - Compounding Pharmacy
License Number 114813
State AL
Is Primary Yes

Agent

Name Role Address
COSTELLO, SAMUEL M Agent 3220 HWY 31 SOUTH BLDG A-2DECATUR, AL 35603

Director

Name Role Address
COSTELLO, SAMUEL M Director 3220 HWY 31 SOUTH BLDG A-2DECATUR, AL 35603
CLAY, RICKEY E Director 3220 HWY 31 SOUTH BLDG A-2DECATUR, AL 35603

Incorporator

Name Role Address
COSTELLO, SAMUEL M Incorporator 3220 HWY 31 SOUTH BLDG A-2DECATUR, AL 35603

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State